NPI 1023631660

Carl Ndangoh, PHARMD

Practitioner Pharmacist Southfield, MI

Practice location

Address: 2 Towne Sq, Southfield, MI 48076-3769
Phone: (313) 208-7376
Mailing address: 6413 Belhaven Dr, Fort Worth, TX 76123-2097

Registered specialties

Pharmacist Primary

Pharmacy Service Providers Taxonomy 183500000X Licence 5302039573 (MI)

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Registry record

NPI: 1023631660
Entity type: Individual
Sex (as registered): Male
NPI issued: 18 May 2020
Record last updated: 18 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.